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Online Forms

Nicolai Chiropractic Center, P.C. offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know! Choose the form appropriate to your age.
Please also select the Patient Health Questionnaire and the Electronic Health Records Intake Form.

New Patient Intake Form (Birth-6 years) Download & Print

New Patient Intake Form (7-15 years) - Download & Print

New Patient Intake Form (16+ years) - Download & Print

Patient Health Questionnaire - Download & Print

Electronic Health Records Intake Form - Download & Print


Financial, Informed Consent, and Privacy Information - Required

Financial Policy - Download & Print

Informed Consent - Download & Print

Consent for Use or Disclosure of Health Information - Download & Print



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Location

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Office Hours

Our Regular Schedule

Monday:

7:00 am-5:00 pm

Tuesday:

7:00 am-5:00 pm

Wednesday:

7:00 am-5:00 pm

Thursday:

8:00 am-4:00 pm

Friday:

7:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Dr.Nicolai is an amazing chiropractor and the all the staff there is exceptional! Nicolai helped me when no doctors could."
    Sarah O.
  • "Dr. Nicolai is a miracle worker in many ways and is surrounded by a wonderful staff."
    Cindy F.